Difference between revisions of "Medulloblastoma"

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556 bytes added ,  12:10, 2 May 2018
→‎IHC: Subgrouping
(→‎IHC: DDx)
(→‎IHC: Subgrouping)
Line 32: Line 32:
* Nestin +ve
* Nestin +ve
* [[INI1]] retained (no loss)
* [[INI1]] retained (no loss)
Genetic grouping with IHC:<ref>{{Cite journal  | last1 = Pietsch | first1 = T. | last2 = Haberler | first2 = C. | title = Update on the integrated histopathological and genetic classification of medulloblastoma - a practical diagnostic guideline. | journal = Clin Neuropathol | volume = 35 | issue = 6 | pages = 344-352 | month =  | year =  | doi = 10.5414/NP300999 | PMID = 27781424 }}</ref>
* WNT: beta-catein: nuclear +ve, YAP1+ve, OTX2+ve.
* SHH: YAP1+ve, OTX2-ve, p75+ve.
* Non-WNT/Non-SHH: * SHH: YAP1-ve, OTX2+ve, p75+ve.


DDx:
DDx:
*[[Small round cell tumours]].
*[[Small round cell tumours]].
** [[AT/RT]] (INI1 loss)
** [[AT/RT]] (INI1 loss)
** CNS-[[PNET]]
** CNS-embryonal tumour (aka CNS-[[PNET]])
** ETMR (LIN28)-positive
** ETMR (LIN28)-positive
** Ewing Sarcoma family members
** Ewing Sarcoma family members
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